Current Issue : July-September Volume : 2025 Issue Number : 3 Articles : 5 Articles
Background: This case report addresses the challenges of integrating orthodontic and prosthodontic treatment, particularly in clear aligner cases. The study introduces a novel milled-provisional crown with attachment (M-PCA) technique designed to enhance treatment efficacy and reduce orthodontic attachment debonding, a common issue in clear aligner therapy. Case Report: This is a case report that presents a 49-year-old female patient seeking orthodontic treatment for Class III malocclusion along with periodontal and prosthodontic challenges. The treatment plan involved a multidisciplinary approach, including using M-PCA for temporization during clear aligner therapy. Conclusions: The M-PCA approach demonstrated promising results, with no reported complications such as orthodontic attachment debonding throughout the treatment period. This innovation offers a significant advantage in managing orthodontic cases requiring provisional crowns, ensuring retention, and facilitating orthodontic treatment....
Background/Objectives: Fracture-related infections (FRIs) are a significant complication in maxillofacial trauma, leading to adverse outcomes such as prolonged healing, nonunion, and osteomyelitis. Despite advancements in surgical techniques, the incidence of FRIs remains concerning, particularly for mandibular fractures. This systematic review and meta-analysis aims to evaluate the incidence, risk factors, and management strategies for FRIs in oral and maxillofacial trauma. Methods: A systematic search of Medline and Embase databases was conducted, including studies up to February 2024, adhering to PRISMA guidelines. Eligible studies included randomized controlled trials, cohort studies, and case-control studies focusing on the incidence, risk factors, or treatment outcomes of FRIs. Data on patient demographics, fracture type, infection rates, and management strategies were extracted and analyzed. Statistical analyses included pooled infection rates, stratified by anatomical sites, using fixed and random-effects models. Results: A total of 72 studies were included, with a pooled FRI rate of 5.6%. Mandibular fractures exhibited the highest infection rate at 8.9%, while midface fractures had the lowest at 0.9%. The significant risk factors identified included smoking, substance abuse, and comorbidities such as diabetes. Delayed surgical intervention and poor periodontal health were also associated with higher infection rates. The use of prophylactic antibiotics did not show significant differences in infection prevention. Conclusions: FRIs in maxillofacial trauma are influenced by multifactorial risks, including anatomical, patient-specific, and procedural factors. Mandibular fractures are particularly vulnerable, requiring targeted preventive strategies and timely intervention. Standardized definitions and guidelines are essential for improving consistency in diagnosis and management. Future research should focus on high-quality trials to establish evidence-based approaches for FRI prevention and treatment....
Introduction: Recent advancements in diagnostic imaging technologies have significantly improved the field of dental medicine. This review examines these new imaging techniques and their impact on enhancing accuracy, enabling early detection, and facilitating effective treatment planning in dentistry. Methods: A bibliometric and content analysis was conducted on 61 peer-reviewed articles retrieved from the Scopus database, published between 2019 and 2024. The selection criteria focused on studies exploring advances in dental diagnosis through innovative imaging methods and personalized techniques for identifying oral pathologies. The bibliometric approach analyzed publication trends, while content analysis categorized emerging technologies and their clinical applications. Results: Our findings indicate a notable shift towards integrating cutting-edge technologies, including Cone Beam Computed Tomography (CBCT), artificial intelligence (AI), and biosensors. These advancements have significantly improved diagnostic accuracy, particularly in complex cases such as periodontal diseases, dental fractures, and oral infections. Studies demonstrate that molecular diagnostics and AI-driven algorithms enhance the personalization of treatment plans, optimizing patient outcomes. Conclusions: Emerging diagnostic technologies have the potential to enhance both the quality and efficiency of dental care. However, their implementation is challenged by high costs, the need for specialized training, and disparities in access. Future research should focus on refining AI-driven diagnostic models, addressing regulatory considerations, and expanding the clinical validation of novel imaging tools. As these technologies evolve, they are expected to increase diagnostic specificity, leading to more precise, patient-centered treatment approaches. Ultimately, these advancements offer substantial opportunities to transform dental practice by providing faster, less invasive, and more reliable diagnoses....
Background: Untreated impacted wisdom teeth can lead to complications, including delayed healing and inferior alveolar nerve damage. Delayed management is further complicated by age-related comorbidities. Aim: This study aimed to evaluate the management of impacted wisdom teeth in a teaching dental hospital and identify challenges faced by dental care providers. Materials and Methods: A retrospective radiographic study was conducted using data from electronic medical records and panoramic radiographs of patients. Independent variables included demographics and clinical details of wisdom teeth, such as type and presence of impaction, associated pathology, nerve proximity, second molar resorption, and extraction difficulty. The study assessed the evaluation of dental care provider practices in managing impacted wisdom teeth. Chi-square tests analyzed relationships between management type, provider level, and extraction difficulty. Results: Data from 270 panoramic radiographs and dental records were analyzed. Most cases were not managed (n = 216, 80%), irrespective of extraction difficulty or care provider level (undergraduate vs. graduate). There was no significant association between care provider levels and the type of management or between impaction difficulty and management type (p > 0.05). Conclusions: The findings highlight a lack of proper evaluation and management of impacted wisdom teeth, regardless of the provider’s experience. In hospital settings, all care providers should ensure the timely evaluation and management of impacted wisdom teeth to prevent complications....
Objective: This study aims to investigate the mechanical behavior of titanium (Ti6Al4V) mini-implants (MIs) under varying orthodontic forces using finite element analysis (FEA) and to evaluate their performance and durability under realistic clinical conditions. Optimal orthodontic forces significantly influence the structural integrity and functional longevity of MIs while minimizing adverse effects on surrounding bone tissues. Materials and Methods: A commercially available MI (diameter: 2.0 mm, length: 12 mm) was modeled using FEA. The mandible geometry was obtained using computed tomography (CT) scanning, reconstructed in 3D using SpaceClaim software 2023.1, and discretized into 10-node tetrahedral elements in ANSYSWorkbench. Material properties were assigned based on the existing literature, and the implant–bone interaction was simulated using a nonlinear frictional contact model. Orthodontic forces of 2 N and 10 N, inclined at 30◦, were applied to simulate clinical loading conditions. Total displacement, von Mises stresses, equivalent strains, fatigue life, and safety factors were analyzed to assess the implant’s mechanical performance. Results: At 2 N, the MI demonstrated minimal displacement (0.0328 mm) and sustained approximately 445,000 cycles under safe fatigue loading conditions, with a safety factor of 4.8369. At 10 N, the implant’s lifespan was drastically reduced to 1546 cycles, with significantly elevated stress (6.468 × 105 MPa) and strain concentrations, indicating heightened risks of mechanical failure and bone damage. The findings revealed the critical threshold beyond which orthodontic forces compromise implant stability and peri-implant bone health. Conclusions: This study confirms that maintaining orthodontic forces within an optimal range, approximately 2 N, is essential to prolong MI lifespan and preserve bone integrity. Excessive forces, such as 10 N, lead to a rapid decline in durability and increased risks of failure, emphasizing the need for calibrated force application in clinical practice. These insights provide valuable guidance for enhancing MI performance and optimizing orthodontic treatment outcomes....
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